14D0903255 CLIA NUMBER - PHARMACY PLUS INC

Laboratory Demographics

  • CLIA Code: 14D0903255
  • Facility Name: PHARMACY PLUS INC
  • Facility Address: 508 N MAIN
    CARROLLTON, IL
    ZIP 62016
  • Facility Phone: 217 942-3427
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BYRON A. BERRY RPH
  • NPI Number: 1568557593
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D0903255
LAB Type Pharmacy
Facility Name PHARMACY PLUS INC
Street 508 N MAIN
City CARROLLTON
State IL
ZIP 62016
Phone 217 942-3427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Pharmacy
Lab Director BYRON A. BERRY RPH

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This page was last updated on: 9/29/2025